ESTACADA SCHOOL DISTRICT 108
NPI 1346713575
Local Education Agency (LEA) in Estacada, OR

Active since January 10, 2019
255 NE 6TH AVENUE, ESTACADA, OR 97023(503) 630-6871 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 38D0699450
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 12-31-2025

About ESTACADA SCHOOL DISTRICT 108

This page provides the complete NPI Profile along with additional information for Estacada School District 108, a provider established in Estacada, Oregon operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1346713575 assigned on January 2019. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Nick Hogan (Business Manager)

NPI
1346713575 Verify this NPI
Provider Name
ESTACADA SCHOOL DISTRICT 108
Entity Type
Organization
Location Address
255 NE 6TH AVENUE ESTACADA, OR 97023
Location Phone
(503) 630-6871
Mailing Address
255 NE 6TH AVENUE ESTACADA, OR 97023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2019
Last Update Date
01-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICK HOGAN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(503) 630-6871

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0699450
Facility Type
Other
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
LARRY LONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Estacada School District 108 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346713575, enumerated as an "organization" on January 10, 2019.

The provider is located at 255 NE 6TH AVENUE ESTACADA, OR 97023 and the phone number is (503) 630-6871.

Local Education Agency (LEA) with taxonomy code 251300000X.